A free clinic to help small New Hampshire practices get paid what insurers owe them

Why we run this

Luxen is a medical billing company. We do this work commercially for practices above $1M in annual revenue. The clinic is that same work, given free to the practices below that line, which are the ones least likely to ever hire a billing company.

We work with practices across the country. We have been running free Medical Billing Clinics for some time now and this is the first time we are bringing one to New Hampshire. Providers have found tremendous value in it and we hope you do too.

What the clinic covers

Ninety minutes, from 2:00 pm to 3:30 pm ET, worked from your own claims rather than from slides. You will be in a small breakout group with a member of our team, not sitting through a webinar.

• The 15 day rule almost nobody tracks. Under RSA 420-J:8-a a New Hampshire carrier has just 15 calendar days to pay a clean electronic claim, and 30 days for a paper one. After that the carrier owes interest at 1.5 percent per month. That is one of the tightest prompt pay windows in the country, and practices that submit electronically are usually owed more than they realise.
• What actually counts as a clean claim here. The statute is specific: the carrier's standard form, current procedural codes, and every required field complete and correct under that carrier's published filing requirements. Miss one and the clock never starts.
• Which denials are worth appealing. How to rank open denials by dollar value and remaining deadline instead of working them in the order they arrived.
• Medicaid managed care. New Hampshire Medicaid runs through Medicaid Care Management, so your Medicaid patients are really three different plans with three sets of rules. We go through where that costs you.
• The three or four root causes behind most of your denials, and how to fix them upstream so the same claims stop coming back.

What you leave with

• Appeal letter templates for the most common denial reasons.
• A filing deadline calendar covering New Hampshire Medicaid, its managed care plans, and the commercial carriers you actually bill.
• A written list of which of your own claims we believe are still recoverable, and what to file for each.

All of it is yours to use whether or not you ever speak to us again. If it were only useful with us doing the work, it would not be a giveaway.

Who can attend

New Hampshire medical and dental practices with under $750,000 in annual revenue. In practice that is one and two provider offices with no dedicated biller, where appeals compete with everything else on the office manager's desk.

Bring whoever actually touches billing. That is often the practice manager rather than the provider.

The session runs from 2:00 pm to 3:30 pm ET on Wednesday, October 1. There are 20 places and registration closes on Friday, September 26. No sales call is required to attend, and we will not schedule one unless you ask.

Why New Hampshire practices lose money in a particular way

New Hampshire gives carriers less time to pay than almost any state in the country, and most practices have no idea.

Fifteen days, not thirty. Under RSA 420-J:8-a, a health carrier must pay a clean electronic claim within 15 calendar days of receipt. A clean paper claim gets 30. An overdue claim accrues interest at 1.5 percent per month from the date payment was due. Since almost every practice submits electronically, the 15 day clock is the one that matters, and it runs out long before most billing teams look at the claim again.

What counts as clean matters more here than elsewhere. The statute defines a clean claim as one submitted on the carrier's standard form, using the most current published procedural codes, with every required field completed correctly under that carrier's published filing requirements. A claim that fails any of that is not clean, the 15 day clock never starts, and no interest accrues. The gap between what a practice thinks it submitted and what the carrier will treat as clean is where the money sits.

The payer mix. Commercially, most New Hampshire practices bill Anthem Blue Cross and Blue Shield of New Hampshire, Harvard Pilgrim and Cigna. Medicaid runs through the state's Medicaid Care Management programme rather than fee for service, delivered by managed care organizations including AmeriHealth Caritas New Hampshire, Well Sense Health Plan and NH Healthy Families. Each sets its own filing and authorization rules, so a practice treating Medicaid as one workflow is really running three.

For reporters

In one sentence: a medical billing company is working unpaid insurance claims for free for 20 small New Hampshire medical and dental practices, and the practices keep everything recovered.

Why it matters to readers: when a small practice cannot get an insurer to pay, that balance often lands on the patient's bill. Patients end up owing money their insurance should have covered.

A New Hampshire angle worth knowing: state law gives carriers only 15 calendar days to pay a clean electronic claim, and 1.5 percent monthly interest after that. Very few small practices track it, so the interest is rarely claimed.

The facts: free, Wednesday October 1 2026, 2:00 pm to 3:30 pm ET, 20 places, open to New Hampshire medical and dental practices under $750,000 in annual revenue, registration closes Friday September 26.

Contact: Shivam Pujara, 413 445 1050. Happy to explain how a denied claim turns into a patient bill, connect you with a participating practice, or share what we find across all twenty practices afterwards. Photo and logo available on request.

Questions

Is it really free? Yes. No fee, no card, and no sales call is required to attend. This is our way to give back to the community and raise awareness on the correct practices for small clinics.

When exactly is it? Wednesday, October 1, 2026, from 2:00 pm to 3:30 pm Eastern.

What do I need to bring? Your unpaid and denied claims, or an AR ageing report if you can pull one. The more you bring, the more useful it is.

Is it a webinar? No. You will be put into a small breakout group and work through your own claims with someone from our team.

What if we are already with a billing company? You can still come. Some of what we find will be things to take back to them.

Is my practice too small? Almost certainly not. The clinic exists specifically for practices too small to justify a billing company.

What happens to our data? We sign a business associate agreement before seeing anything containing protected health information, and healthcare work runs on HIPAA-compliant tooling.

Register, or ask first

Wednesday, October 1 at 2:00 pm ET. Twenty places, and registration closes on Friday, September 26. If you would rather ask something before signing up, call Shivam Pujara on 413 445 1050.

We request that if you are a clinic doing much more than a million dollars in revenue you do not take up a spot for this workshop since it is exclusively focused on clinics who are smaller in nature.